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<br />/ <br /> <br />FORM 8B MEMORANDUM OF VOTING CONFLICT FOR <br />COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS <br />5. <br /> <br />LAST NAM -FIRST NAME-A1IDDlE N.,.A,.,E . <br />I C:l C-Jr /VcA<.ln;1--N <br />MAILING ADDRESS J ,. .__ <br />2 ilL." I.S.L~ <br />COUNTY <br />/3 r-:}f-C- il I t/frll- f) If/)C <br /> <br />CITY ( <br />..J /I /IJ,1.I <br />DATE ON WHICH V <br /> <br /> <br />NAME OF BOARD, COUNCil, COMMISSION, AUTHORITY, OR COMMITTEE . J <br />_<)V/.)N ' / ~ i ;S.~5 eJ1Cfl /iJ/TfI?1/.5S 'eI..v <br />THE BOARD, OUNCll, COMMISSION, AUTHORITY OR COMMITTEE ON <br />VllHICH I SERVE IS A UNIT OF: <br />ITY IJ COUNTY <br />NAME OF POLITICAL SUBDIVISION: <br />_") . J tV .s L.&-J <br />MY POSITION IS: <br /> <br />IJ OTHER lOCAL AGENCY <br /> <br /> <br /> <br />IJ APPOINTIVE <br /> <br />WHO MUST FILE FORM 88 <br /> <br />This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council, <br />commission, authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting <br />conflict of interest under Section 112.3143, Florida Statutes. <br /> <br />Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending <br />on whether you hold an elective or appointive position, For this reason, please pay close attention to the instructions on this form before <br />completing the reverse side and filing the form. <br /> <br />INSTRUCTIONS ..-- - <E~" !.3143, FLORIDA STATUTES <br /> <br />A person holding elective or ap,: fi\~ ( _.~\. ~ (' -"'~- UST ABSTAIN from voting on a measure which <br />inures to his or her special privatt ("") ~ ~ vw-- so is prohibited from knowingly voting on a mea- <br />sure which inures to the special 9 ~~ ~ cy) by whom he or she is retained (including the <br />parent organization or subsidiary I vr- 0 the special private gain or loss of a relative; or <br />to the special private gain or loss j't:" -1 ~edevelopment agencies under Sec. 163.356 or <br />163.3~7, F.S., and officers of indel ~ (ii) ~~.lS I I vote basis are not prohibited from voting in that <br />capacity. \ \)) ~ ). ~ <br /> <br />For purposes of this law, a "relativ( ~ ~. ~~ J ~ <br />mother-in-law, son-in-law, and dau\ r.. _ _. _" ....^:::A . <br />enterprise with the officer as a partl ~ <:_. !? u'. 0 (JJ))V.>>'I-~ <br />ace oot I;sted 00 aoy oatiooal oc ce9; ~l ~ r ~ 1 <br /> <br />ELECTED OFFICERS: ~sJ. <br /> <br />er, husband, wife, brother, sister, father-in-law, <br />or entity engaged in or carrying on a business <br />ueholder (where the shares of the corporation <br /> <br />In addition to abstaining from voting il <br /> <br /> <br />:onflict: <br /> <br />PRIOR TO THE VOTE BEING <br />are abstaining from voting; and <br /> <br />WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min- <br />utes of the meeting, who should incorporate the form in the minutes. <br /> <br />-J I"'uVllv'Y stating to the assembly the nature of your interest in the measure on which you <br /> <br />* <br /> <br />APPOINTED OFFICERS: <br /> <br />Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you <br />must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in writing and whether made <br />by you or at your direction. <br /> <br />IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE <br />TAKEN: <br /> <br />. You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the <br />minutes of the meeting, who will incorporate the form in the minutes. (Continued on other side) <br /> <br />CE FORM 88 - EFF. 1/2000 <br /> <br />PAGE 1 <br />